Donor Registration

1. Welcome
2. Consent
3. Health History
4. Contact
1 / 4
Welcome
Consent
Health History
Contact

Registration form - Step 1

Thank you for your interest in joining the Gift of Life NexGen Registry! Complete this page and the next steps which include a brief health history and your contact details. We will then email you a link to complete a more detailed questionnaire as the next step in becoming a NexGen donor.

THANK YOU!
Our NexGen staff will process your registration and let you know if you qualify to become a volunteer donor. Next, you will have a physical to ensure you are healthy and can donate.
If you have any comments regarding our registration system, please let us know here.

You will receive a $50 gift card for every person that you refer, when they donate. There are no limits to how many people you can help enroll. Register today and start earning.

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